CAJ | 학술논문

目的：分析急性肺栓塞的急诊诊断，研究有效的治疗方法。方法研究选取我院收治的46例急性肺栓塞患者，借助于各种辅助性检查手段。根据患者病情严重程度给予溶栓和抗凝治疗。研究治疗效果。结果10例特异性改变典型的SI QⅢ TⅢ，22例低氧血症，11低碳酸血症，21例D-二聚体阳性，11例肺灌注缺损，3例肺动脉血栓，8例肺动脉低密度充盈缺损；46例患者经过治疗有效40例，无效6例，其中2例死亡，总的治疗有效率为87．0％。结论辅助诊断在急性肺栓塞诊断中有较高的价值，溶栓治疗和抗凝治疗在治疗急性肺栓塞中有很好的效果。
목적：분석급성폐전새적급진진단，연구유효적치료방법。방법연구선취아원수치적46례급성폐전새환자，차조우각충보조성검사수단。근거환자병정엄중정도급여용전화항응치료。연구치료효과。결과10례특이성개변전형적SI QⅢ TⅢ，22례저양혈증，11저탄산혈증，21례D-이취체양성，11례폐관주결손，3례폐동맥혈전，8례폐동맥저밀도충영결손；46례환자경과치료유효40례，무효6례，기중2례사망，총적치료유효솔위87．0％。결론보조진단재급성폐전새진단중유교고적개치，용전치료화항응치료재치료급성폐전새중유흔호적효과。
Objective Emergency diagnosis of acute pulmonary embolism,research on effective treatments.Methods The study selected 46 cases of patients with a-cute pulmonary embolism in our hospital,with the help of various auxiliary examination means,such as blood gas analysis,According to the severity of the thrombolytic and anticoagulant therapy.Study the therapeutic effect.Results 10 cases of specific changes in SI Q Ⅲ T Ⅲ typical,22 cases of hypoxemia and hypocapnia,11,21 D-two mer positive,11 cases of pulmonary perfusion defect,3 cases of pulmonary artery thrombosis,8 cases with pulmonary low density filling defect;46 cases of patients af-ter treatment,effective 40 cases,invalid in 6 cases,of which 2 cases died,the total effective rate of the treatment was 87%.Conclusion The diagnosis is of high value in the diagnosis of acute pulmonary embolism ,thrombolytic therapy and anticoagulant therapy in treatment of acute pulmonary embolism in a very good effect .